03213nas a2200265 4500000000100000008004100001653001100042653001700053653001200070100001200082700001400094700001800108700001400126700001400140700001300154700001700167700001300184700001000197700001400207245006000221856007800281300001200359490000700371520256900378 2015 d10aBalkan10aTuberculosis10aleprosy1 aNiåu M1 aOlteanu M1 aCãlãraæu C1 aOlteanu M1 aVasiliu R1 aStreba C1 aPostolache P1 aGolli AL1 aPop C1 aNemeæ RM00aA Comparison Between Cutaneous Tuberculosis And Leprosy uhttp://see-articles.ceon.rs/data/pdf/0041-6940/2015/0041-69401501105N.pdf a105-1100 v503 a
Cutaneous tuberculosis represents a small percent of total extrapulmonary
TB forms, caused mainly by Mycobacterium tuberculosis.
Skin tuberculosis can be also highly variable in its clinical
appearance, significance, and prognosis. The form of the disease
depends on the virulence of the strain, the immune status of the
host, the portal of entry, the mode of internal spread, and the
adequacy of initial treatment. Lesions in the skin often represent
hematogenously or lymphatically dispersed disease from internal
foci of infection. Scrofuloderma and lupus vulgaris are much more
common and are seen in patients who are less immunosuppressed
and tuberculosis verrucosa cutis is highly seen in
patients who are immunocompetent. Leprosy (also known as
Hansen’s Disease) is a chronic, infectious disease involving
primarily the nerves and secondary the skin, mucosa and the eyes
of infected individuals. Leprosy is caused by Mycobacterium
leprae. Although this disease is curable since 1948, according to
WHO in 2013 there were registered 213.000 new cases of leprosy.
Considering the results of skin tests (biopsies, and secretions
tests) leprosy can be classified as: paucibacillary - few or absent
bacilli (tuberculoid leprosy, and borderline tuberculoid leprosy)
and multibacillary - numerous bacilli (lepromatous leprosy,
borderline lepromatous leprosy and borderline leprosy). Corroborating
clinical data with specific laboratory tests and biopsies of
the affected skin and nerves we establish the diagnosis and form
of these diseases; the tuberculin test has as correspondent
lepromin test. The treatment of cutaneous tuberculosis in most
cases is the same as for pulmonary tuberculosis. Early treatment
for leprosy prevents disabilities and scaring.